Weisberg Stuart P, Leibel Rudolph, Tortoriello Drew V
Russ Berrie Medical Science Pavilion, Diabetes and Endocrinology Research Center, Columbia University Medical Center, 1150 St. Nicholas Avenue, New York, NY 10032, USA.
Endocrinology. 2008 Jul;149(7):3549-58. doi: 10.1210/en.2008-0262. Epub 2008 Apr 10.
Obesity is a major risk factor for the development of type 2 diabetes, and both conditions are now recognized to possess significant inflammatory components underlying their pathophysiologies. We tested the hypothesis that the plant polyphenolic compound curcumin, which is known to exert potent antiinflammatory and antioxidant effects, would ameliorate diabetes and inflammation in murine models of insulin-resistant obesity. We found that dietary curcumin admixture ameliorated diabetes in high-fat diet-induced obese and leptin-deficient ob/ob male C57BL/6J mice as determined by glucose and insulin tolerance testing and hemoglobin A1c percentages. Curcumin treatment also significantly reduced macrophage infiltration of white adipose tissue, increased adipose tissue adiponectin production, and decreased hepatic nuclear factor-kappaB activity, hepatomegaly, and markers of hepatic inflammation. We therefore conclude that orally ingested curcumin reverses many of the inflammatory and metabolic derangements associated with obesity and improves glycemic control in mouse models of type 2 diabetes. This or related compounds warrant further investigation as novel adjunctive therapies for type 2 diabetes in man.
肥胖是2型糖尿病发生的主要危险因素,目前人们认识到这两种病症在其病理生理学中均具有显著的炎症成分。我们检验了以下假设:已知具有强大抗炎和抗氧化作用的植物多酚化合物姜黄素,会改善胰岛素抵抗性肥胖小鼠模型中的糖尿病和炎症。我们发现,通过葡萄糖和胰岛素耐量测试以及糖化血红蛋白百分比测定,饮食中添加姜黄素可改善高脂饮食诱导的肥胖和瘦素缺乏的ob/ob雄性C57BL/6J小鼠的糖尿病状况。姜黄素治疗还显著减少了白色脂肪组织中的巨噬细胞浸润,增加了脂肪组织脂联素的产生,并降低了肝细胞核因子-κB活性、肝肿大和肝脏炎症标志物。因此,我们得出结论,口服姜黄素可逆转与肥胖相关的许多炎症和代谢紊乱,并改善2型糖尿病小鼠模型的血糖控制。这种化合物或相关化合物作为人类2型糖尿病的新型辅助疗法值得进一步研究。